Nguyen, Amy Ngoc

Nguyen, Amy Ngoc is an individual health care provider with primary practice located at 2720 N Harbor Blvd Ste 205 , Fullerton CA 92835-2609. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Nguyen, Amy Ngoc can be contacted via phone (714) 882-5525.

Contact Information

Primary practice address
2720 N Harbor Blvd Ste 205 Fullerton CA 92835-2609
Fax: (714) 882-5078
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A80879 California
Allopathic & Osteopathic Physicians / Dermatology 207N00000X A80879 California

Profile Details

NPI number 1548274996
LBN Legal business name Nguyen, Amy Ngoc
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Jun 4th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548274996 NPPES
California MEDICAID GR0094190

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